Most of the genes that encode epithelial mucins are highly polymorphic due
to variations in the length of domains of tandemly repeated (TR) coding seq
uence, the part of the apomucin that is heavily glycosylated. We report her
e for the first time a difference in the distribution of MUC TR length alle
les in chest disease. We examined the distribution of the length alleles of
those MUC genes whose expression we have confirmed in the bronchial tree i
n an age- and sex-matched series of 50 pairs of atopic patients with and wi
thout asthma. There was no significant difference in the distribution of al
leles of MUC1, MUC4, MUC5AC, and MUC5B. MUC2, however, showed a highly sign
ificant difference in distribution. The atopic, nonasthmatic individuals sh
owed an allele distribution that was very different from all our other pati
ent and control groups, this group showing a longer mean allele length. The
observations suggest that longer MUC2 alleles may help protect atopic indi
viduals from developing asthma, though the effect may be due to a linked ge
ne. The biological significance of this variation with respect to susceptib
ility to asthma will merit further investigation, and it will also be impor
tant to substantiate this finding on an independent data set.